Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.66 / $2,259.46 / $7,028.00	Facility		$215.66	$2,259.46	$7,028.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.79 / $250.02 / $622.73	Professional		$150.79	$250.02	$622.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,382.00 / $4,707.00	Facility		$1,691.00	$3,382.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.44 / $231.10 / $557.71	Professional		$165.44	$231.10	$557.71
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $236.35 / $236.35 / $6,213.00	Facility		$236.35	$236.35	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $236.35 / $236.35 / $402.03	Professional		$236.35	$236.35	$402.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $283.88 / $283.88 / $14,648.00	Facility		$283.88	$283.88	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.87 / $308.37 / $657.33	Professional		$171.87	$308.37	$657.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $131.00 / $221.70 / $437.54	Facility		$131.00	$221.70	$437.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $328.45 / $380.71 / $799.56	Professional		$328.45	$380.71	$799.56
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.41 / $260.58 / $523.37	Professional		$207.41	$260.58	$523.37
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.24 / $519.78 / $1,424.80	Facility		$208.24	$519.78	$1,424.80
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $260.58 / $327.92 / $362.24	Professional		$260.58	$327.92	$362.24
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $283.88 / $555.00 / $74,999.25	Facility		$283.88	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $180.01 / $340.26 / $781.38	Professional		$180.01	$340.26	$781.38
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $182.06 / $306.82 / $693.19	Professional		$182.06	$306.82	$693.19
Univera Facility/Professional Facility Modifier Low / Median / High Price $181.87 / $181.87 / $566.51	Facility		$181.87	$181.87	$566.51
Univera Facility/Professional Professional Modifier Low / Median / High Price $195.93 / $304.08 / $597.96	Professional		$195.93	$304.08	$597.96